45D0665873 CLIA NUMBER - TEXAS ONCOLOGY LAB- HEB

Laboratory Demographics

  • CLIA Code: 45D0665873
  • Facility Name: TEXAS ONCOLOGY LAB- HEB
  • Facility Address: 1609 HOSPITAL PARKWAY
    BEDFORD, TX
    ZIP 76022
  • Facility Phone: 817 359-9148
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: HENRIK ILLUM
  • NPI Number: 1033155049
  • Taxonomy: 3336S0011X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 45D0665873
LAB Type Physician Office
Facility Name TEXAS ONCOLOGY LAB- HEB
Street 1609 HOSPITAL PARKWAY
City BEDFORD
State TX
ZIP 76022
Phone 817 359-9148
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director HENRIK ILLUM

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This page was last updated on: 9/29/2025